Using a theory-based community based participatory research to examine getting a regular mammogram among rural women

Background: Breast cancer is a major public health concern worldwide and in the US, especially in rural areas. Getting a regular mammogram on is the most effective means of early detection and reducing the mortality rate from cancer. The goal of this study was to identify the psychosocial determinants that explain intention to get a mammogram among rural women by using the Reasoned Action Approach (RAA). Methods: A sample of 555 women between the ages of 40 and 75 who have had at least one mammogram completed a questionnaire online and in person. Women were recruited from a local mammogram facility and from a free clinic located in rural Indiana to participate in a quantitative survey based on the RAA. A multiple regression analysis and sequential regression was conducted to identify the determinants of getting a mammogram. Results: The results of the regression analysis revealed that 56% of the variability in intention to get a mammogram can be explained by attitude, perceived norm, perceived behavioral control, age, healthcare access, previous mammogram experience, doctor's experience, and other preventative behaviors. Perceived behavioral control and attitude had the highest regression coefficients. The results of the sequential regression indicated that the three global constructs of the RAA predict intention to get a regular mammogram above and beyond the demographic, healthcare access, and preventative behaviors. Implications: The RAA is a conceptual framework appropriate to understand mammogram use. Public health professionals could focus on designing interventions that focus on changing attitude, perceived norm, and perceived barriers.